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William M Palin, Julian G Leprince, Mohammed A Hadis
Spatial and temporal control is a key advantage for placement and rapid setting of light-activated resin composites. Conventionally, placement of multiple thin layers (<2mm) reduces the effect of light attenuation through highly filled and pigmented materials to increase polymerisation at the base of the restoration. However, and although light curing greater than 2mm thick layers is not an entirely new phenomenon, the desire amongst dental practitioners for even more rapid processing in deep cavities has led to the growing acceptance of so-called "bulk fill" (4-6mm thick) resin composites that are irradiated for 10-20s in daily clinical practice...
March 14, 2018: Dental Materials: Official Publication of the Academy of Dental Materials
Flávia Gonçalves, Luiza Mello de Paiva Campos, Ezequias Costa Rodrigues-Júnior, Fabrícia Viana Costa, Pamela Adeline Marques, Carlos Eduardo Francci, Roberto Ruggiero Braga, Letícia Cristina Cidreira Boaro
Bulk-fill composites are claimed to be restorative materials used in deep preparations and effectively photoactivated in layers up to 4 mm. The aim of the present study was to evaluate the degree of conversion, post-gel volumetric shrinkage, and cytotoxicity of six bulk-fill and two conventional composites. Degree of conversion was determined by FTIR spectroscopy; post-gel volumetric shrinkage was determined using the strain gauge method; and cytotoxicity in human fibroblasts was evaluated indirectly by the MTT assay...
March 8, 2018: Brazilian Oral Research
Jex Ong, A U Yap, J Y Hong, A H Eweis, N A Yahya
This study investigated the viscoelastic properties of contemporary bulk-fill restoratives in distilled water and artificial saliva using dynamic mechanical analysis. The materials evaluated included a conventional composite (Filtek Z350), two bulk-fill composites (Filtek Bulk-fill and Tetric N Ceram), a bulk-fill giomer (Beautifil-Bulk Restorative), and two novel reinforced glass ionomer cements (Zirconomer [ZR] and Equia Forte [EQ]). The glass ionomer materials were also assessed with and without resin coating (Equia Forte Coat)...
March 13, 2018: Operative Dentistry
Thaís Emanuelle Bakaus, Yançanã Luizy Gruber, Alessandra Reis, Osnara Maria Mongruel Gomes, Giovana Mongruel Gomes
The aim of this study was to compare in vitro the bond strength (BS) between fiberglass posts and flared root canals reinforced with different materials. The roots of 48 premolars were endodontically treated. After one week, the root canals were prepared to simulate an oversized root canal, except for the positive control group (PCG), which was cemented with a prefabricated fiber post (PFP) compatible with the root canal size, simulating an ideal adaptation. The other samples (n=8/group) were used to test alternative restorative techniques for filling root canals: negative control group (NCG [PFP with a smaller diameter than of the root canal]), composite resin group - CRG, bulkfill group - BFG, self-adhesive cement group - SAG, and glass ionomer group - GIG...
March 1, 2018: Brazilian Oral Research
Lindiane Cogo Rigo, Dimorvan Bordin, Vinicius Pavesi Fardin, Paulo G Coelho, Timothy G Bromage, Andre Reis, Ronaldo Hirata
This study evaluated the influence of polishing protocols on the surface roughness of flowable and regular bulk fill composites. Five bulk fill composites were tested: SureFil SDR Flow (SDR), Tetric EvoFlow Bulk fill (TEF), Filtek Bulk Fill Flowable (FIF), Tetric EvoCeram Bulk Fill (TEC), and Filtek Bulk Fill Posterior (FIP). Two polishing protocols were tested: Sof-Lex and Astropol. Astropol created a smoother surface for FIP (P < .05); however, the polishing protocol did not influence surface roughness on TEC (P > ...
March 7, 2018: International Journal of Periodontics & Restorative Dentistry
Hakan Kamalak, Aliye Kamalak, Ali Taghizadehghalehjoughi
This study was performed to evaluate possible DNA damage in cells of human origin exposed to dental composites in vitro using a cytotoxic assay. Five bulk-fill composites were filled in molds and irradiated for 20 s. DPSCs were inoculated into 24-well plates. After the insert membrane was inserted and composites were added and the experiment was continued for 24/72 hours. In order to investigate the effects of the materials on DPSCs; its effect on apoptosis-regulating Bcl-2 gene, Human Beta-Defensins (HBDs 1-2) gene, Interleukin 6, 8, 10 expression level was examined...
February 28, 2018: Cellular and Molecular Biology
Toloo Jafari, Homayoon Alaghehmad, Ehsan Moodi
Background: Cavity preparation reduces the rigidity of tooth and its resistance to deformation. The purpose of this study was to evaluate the dimensional changes of the repaired teeth using two types of light cure composite and two methods of incremental and bulk filling by the use of finite element method. Materials and Methods: In this computerized in vitro experimental study, an intact maxillary premolar was scanned using cone beam computed tomography instrument (SCANORA, Switzerland), then each section of tooth image was transmitted to Ansys software using AUTOCAD...
January 2018: Dental Research Journal
Paula de Castro Kruly, Marcelo Giannini, Renata Corrêa Pascotto, Laíse Midori Tokubo, Uhana Seifert Guimarães Suga, Any de Castro Ruiz Marques, Raquel Sano Suga Terada
Polymerization shrinkage of resin composite can compromise the longevity of restorations. To minimize this problem, the monomeric composition of composites have been modified. The objective of this study was to conduct a meta-analysis to assess the clinical behavior of restorations performed with low polymerization shrinkage resin composite in comparison with traditional methacrylates-based resin composite. This systematic review was registered at Prospero data system (CRD42015023940). Studies were searched in the electronic databases PubMed, Web of Science, Scopus, Lilacs and EMBASE according to a predefined search strategy...
2018: PloS One
P Segal, V Candotto, A Ben-Amar, M Eger, S Matalon, D Lauritano, Z Ormianer
SureFil SDR is a flowable resin-based composite that allows a single incremental bulk placement. The marginal seal of SureFil SDR at the gingival margins of class II restorations located apical to the cemento-enamel-junction (CEJ) has not been adequately evaluated compared to those located occlusal to the CEJ. Forty class II cavities were prepared in human molars. The gingival margins of 20 preparations were located 0.5 mm occlusal to the CEJ, and the other 20 preparations were located 0.5 mm apical to the CEJ...
January 2018: Journal of Biological Regulators and Homeostatic Agents
Fahad I Alkhudhairy
To evaluate the surface roughness of 4 different bulk-fill resin-based composites cured using different irradiance levels. Methods: This in vitro study was performed in February 2017 to August 2017 at the College of Dentistry, King Saud University. Twenty-four specimens were prepared from each of the bulk-fill materials [Tetric N-Ceram (TNC), SonicFill (SF), Smart Dentin Replacement (SDR), and Filtek Bulk-Fill (FB)] using a brass metal mold, resulting in a total of 96 specimens, cured using a Bluephase N light curing unit...
February 2018: Saudi Medical Journal
R Hirata, R R Pacheco, E Caceres, M N Janal, M F Romero, M Giannini, P G Coelho, F A Rueggeberg
OBJECTIVES: The aim of this study was to quantify the internal void volume formation in commercially available, resin composites inserted using conventional or sonic insertion methods, and analyzed using three-dimensional (3D) micro-computed tomography (μCT). METHODS AND MATERIALS: Four resin composites were evaluated: one conventional (Herculite, Ultra, Kerr Corporation, Orange, CA, USA), one flowable bulk fill (SureFil SDR Flow, Dentsply International, York, PA, USA), and two packable bulk fill (SonicFill, Kerr Corporation, and Tetric EvoCeram Bulk Fill, Ivoclar Vivadent Inc, Schaan, Liechtenstein)...
February 2, 2018: Operative Dentistry
Vibha Hegde, Amrita Vilas Sali
Aim: Comparative evaluation of the fracture resistance of maxillary premolar teeth restored with two high-viscosity bulk-fill composites and incrementally placed composite. Materials and Methods: Seventy-five freshly extracted maxillary premolar teeth were selected. Fifteen specimens served as positive control (Group 1). Mesio-occluso-distal cavity preparation was prepared on the rest of the specimens. These specimens were further divided into four groups: unrestored teeth (Group 2), teeth restored with incrementally placed nanocomposite (Group 3), teeth restored with high-viscosity bulk-fill giomer (Group 4), and teeth restored with high-viscosity bulk-fill nanocomposite (Group 5)...
September 2017: Journal of Conservative Dentistry: JCD
Parul Mour Agarwal, Sonali Taneja, Mohit Kumar
Aim: The aim of this study is to evaluate and to compare the effect of different light-curing modes and different liners on cuspal deflection in premolar teeth restored with bulk filled or incrementally filled composite measured at different time intervals. Materials and Methods: The study was divided into two parts (Part 1-different curing modes, Part 2-different liner) each with sixty extracted human upper premolar teeth with standardized large mesio-occlusal-distal cavities prepared...
September 2017: Journal of Conservative Dentistry: JCD
Martin Prager, Mark Pierce, Pablo J Atria, Camila Sampaio, Eduardo Cáceres, Mark Wolff, Marcelo Giannini, Ronaldo Hirata
The understanding of cuspal deflection and volumetric shrinkage of resin composites is necessary to assess and improve the placement techniques of resin-based materials. The aim of this study was to investigate the cuspal deflection and its relationship with volumetric polymerization shrinkage of different bulk-fill resin composites. The investigation was conducted using non-contact phase microscopy and micro-computed tomography. Thirty custom-milled aluminum blocks were fabricated for microscopy analysis and thirty-six tooth models with standardized Class I cavities were used for micro-computed tomography analysis...
January 26, 2018: Dental Materials Journal
Mustafa Sarp Kaya, Meltem Bakkal, Ali Durmus, Zehra Durmus
The main goal of this study was to compare the polymerization degree of bulk-fill giomer resin cured with three different light-curing units (LCUs): a polywave third-generation (Valo); a monowave (DemiUltra: DU); and a second-generation LED (Optima 10: Opt) LCUs by using structural and mechanical properties. Giomer samples of 2 and 4 mm cured with three LCUs were employed in vitro analysis. The degree of curing (DC%) was determined with Fourier-Transform Infrared Spectroscopy (FTIR). Microstructural features were observed with scanning electron microscopy (SEM)...
January 18, 2018: Journal of Applied Oral Science: Revista FOB
Ali Alrahlah
AIM: The aim was to perform comparative analysis of bioactive, contemporary bulk-fill resin-based composites (RBCs) and conventional glass-ionomer materials for flexural strength (FS), diametral tensile strength (DTS), and Vickers hardness number (VHN) in the presence of thermocycling. MATERIALS AND METHODS: Five restorative materials [Tetric N-Ceram Bulk Fill; smart dentin replacement (SDR) Flowable Material; Bioactive restorative material (ACTIVA Bulk Fill); Ketac Universal Aplicap; and GC Fuji II] were evaluated for DTS, FS, and VHN...
January 1, 2018: Journal of Contemporary Dental Practice
Nicoleta Ilie
Dental bulk-fill restorations with resin-composites (RBC) are increasing in popularity, but doubts concerning insufficient curing in depth still disconcert clinicians. An alternative might be offered by modern dual-cured RBCs, which additionally provide bioactive properties. This study assessed the impact of additional light-curing on polymerization kinetics, the degree of conversion (DC) and mechanical properties of a novel, dual-cured RBC with alkaline fillers. Since the bioactivity of a material often implies a release of compounds, the mechanical stability in simulated clinical environments was also evaluated...
January 11, 2018: Materials
M M Elsharkasi, J A Platt, N B Cook, G H Yassen, B A Matis
The present study investigated the effect of three high-viscosity bulk-fill resin-based composite materials on cuspal deflection in natural teeth. Thirty-two sound maxillary premolar teeth with large slot mesio-occlusal-distal cavities were distributed into four groups (n=8). Three groups were restored with bulk-fill resin composite materials (Tetric EvoCeram Bulk Fill, Ivoclar Vivadent, Schaan, Liechtenstein; x-tra fil, VOCO, Cuxhaven, Germany; and SonicFill, Kerr, Orange, CA, USA) in a single 4-mm increment...
January 2018: Operative Dentistry
M Par, I Repusic, H Skenderovic, E Klaric Sever, D Marovic, Z Tarle
OBJECTIVES: To monitor the real-time changes in light transmittance during composite curing and to use transmittance data to determine the curing times required for a complete polymerization. METHODS: Three conventional and three bulk fill composites were cured with two light-emitting diode curing units at layer thicknesses of 2 mm and 4 mm. The real-time light transmittance data were collected by a UV-Vis spectrometer in the wavelength range of 350-550 nm, plotted against time (t) and fitted to an exponential function f(t), whose first derivative ΔT(t) = df(t)/dt represented the rate of transmittance change...
January 2018: Operative Dentistry
Xiaoyi Zhao, Filippo Zanetti, Shoaib Majeed, Jie Pan, Hans Malmstrom, Manuel C Peitsch, Julia Hoeng, Yanfang Ren
PURPOSE: To evaluate the effect of simulated toothbrush abrasion on the surface gloss, the surface roughness and the color stability of incrementally-filled and bulk-fill composites. METHODS: 48 dimensionally standardized composite specimens (n= 8/group) were made from four incrementally-filled composites (Tetric EvoCeram, IPS Empress Direct Enamel, Ceram X mono and Arabesk) and two bulk-fill composites (Quix fil and Tetric EvoCeram Bulk). Before and after toothbrushing simulation the surface gloss was measured by a glossmeter, the surface roughness was evaluated with a profilometer, and the color was measured using a spectrophotometer...
December 2017: American Journal of Dentistry
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